Detail-oriented professional with a strong commitment to resolving customer concerns through effective solutions. Skilled in aligning company goals with customer needs to enhance satisfaction. Maintains a positive demeanor in all customer interactions, fostering trust and loyalty.
Overview
21
21
years of professional experience
Work History
Customer Advocate II
Blue Cross Blue Shield of Illinois
12.2024 - 10.2025
Facilitated prior authorization requests for members based on medical procedure codes.
Researching medical procedure codes for members and providing them with accurate information.
Gathered coding for members' medical procedures, quoting applicable benefits to ensure clarity for members.
Facilitated communication between departments, including HMO and pharmacy, to ensure coordinated patient care.
Placed return and follow-up calls to address unresolved issues, facilitating timely resolutions.
Assisted with inquiries regarding Cobra, Medicare, Medicaid, and third-party payment benefits, ensuring members received accurate information.
Customer Advocate I
Blue Cross Blue Shield of Illinois
08.2023 - 12.2024
Assisted members with inquiries about specific plans to enhance understanding and satisfaction.
Guided members through questions about medical procedures and copays, ensuring clarity and support.
Handled calls and efficiently transferred members to appropriate departments, streamlining their experience.
Operations Area Supervisor
Ross Stores Inc.
04.2021 - 03.2023
Managed daily store operations, including employee scheduling and payroll oversight.
Projected monthly and quarterly departmental losses, developing action plans to address high theft areas.
Projection of sales versus employee payroll and adjusting accordingly.
Audited and balanced daily funds to assess loss versus profit percentage.
Inspecting all merchandise run from the stock department, and auditing all loss prevention items before clearing them to go the sales floor.
Preparation for annual inventory and scheduling associates accordingly.
Monthly safety meetings and store inspections for fire and store hazards.
Area Supervisor-Home
Ross Stores Inc.
12.2020 - 04.2021
Supervised organization of home department to ensure operational efficiency.
Coordinated flow and scheduling of associates for timely implementation of new products and seasonal changes.
Supervised daily operations to ensure efficient store performance.
Trained and mentored staff on customer service best practices.
Managed inventory levels and conducted regular stock audits.
Assistant Account Manager
Allied Universal Security Services
01.2018 - 12.2020
Developed strategic account plans aligning with client needs to enhance satisfaction.
Coordinated communication between clients and internal teams to support seamless service delivery.
Conducted regular reviews of account performance and identified improvement areas.
Implemented process improvements to enhance efficiency in account management tasks.
Trained new team members on account management procedures to ensure compliance and efficiency.
Ensuring the proper number of officers are on site to fulfill the client contract.
Scheduling and planning officer coverage for special client events.
Oversaw daily operations of security officers to ensure compliance with protocols.
Implemented patrols and rounds to meet client expectations.
Reporting and responding to workplace incidents regarding theft, vehicle accidents and workplace injuries.
Conducted training sessions for officers and staff on first aid, CPR, and AED devices.
Military Police Officer
US Army IL National Guard
01.2005 - 01.2007
Achieved and maintained weapons qualifications through regular firearms training exercises.
Collaborated with team members to implement service initiatives, enhancing operational readiness and achieving team objectives.